47D2290984 CLIA NUMBER - WALGREENS 18043

Laboratory Demographics

  • CLIA Code: 47D2290984
  • Facility Name: WALGREENS 18043
  • Facility Address: 1 PRINCE LN
    BRISTOL, VT
    ZIP 05443
  • Facility Phone: 802 453-2367
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES A. SAWYER
  • NPI Number: 1538682125
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 47D2290984
LAB Type Pharmacy
Facility Name WALGREENS 18043
Street 1 PRINCE LN
City BRISTOL
State VT
ZIP 05443
Phone 802 453-2367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director JAMES A. SAWYER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025